packet

Packet: Tiffin Regular City Council Meeting (12/02/2025)

Open the PDF Searchable PDF tesseract layer

Page 149 of 160

Text read by the vision model; check the PDF for anything that matters.
Contractor's Application for Payment Owner: City of Tiffin Engineer: MSA Professional Services Contractor: Tricon Construction Group Project: Water Treatment Plant Upgrades - City of Tiffin Contract: Water Treatment Plant Upgrades Owner's Project No.: ____________________________ Engineer's Project No.: 13603016 Contractor's Project No.: _______________________ Application No.: 4 Application Date: 11/21/2025 Application Period: From 10/24/2025 to 11/30/2025 <table> <tr> <th> </th> <th> </th> <th> </th> </tr> <tr> <td>1. Original Contract Price</td> <td>$</td> <td>12,182,553.00</td> </tr> <tr> <td>2. Net change by Change Orders</td> <td>$</td> <td>12,420.34</td> </tr> <tr> <td>3. Current Contract Price (Line 1 + Line 2)</td> <td>$</td> <td>12,194,973.34</td> </tr> <tr> <td>4. Total Work completed and materials stored to date<br>(Sum of Column G Lump Sum Total and Column G Unit Price Total)</td> <td>$</td> <td>1,759,214.72</td> </tr> <tr> <td>5. Retainage<br>a. 5% X $ 1,738,164.72 Work Completed<br>b. 5% X $ 21,050.00 Stored Materials<br>c. Total Retainage (Line 5.a + Line 5.b)</td> <td>$</td> <td>86,908.24<br>1,052.50<br>87,960.74</td> </tr> <tr> <td>6. Amount eligible to date (Line 4 - Line 5.c)</td> <td>$</td> <td>1,671,253.98</td> </tr> <tr> <td>7. Less previous payments (Line 6 from prior application)</td> <td>$</td> <td>1,168,804.48</td> </tr> <tr> <td>8. Amount due this application</td> <td>$</td> <td>502,449.50</td> </tr> <tr> <td>9. Balance to finish, including retainage (Line 3 - Line 4, plus 5c)</td> <td>$</td> <td>10,523,719.36</td> </tr> </table> Contractor's Certification The undersigned Contractor certifies, to the best of its knowledge, the following: Contractor: Tricon Construction Group Signature: Mary K Stone Date: 11/25/2025 PAYMENT OF: $502,449.50 (line 8 or other - attach explanation of the other amount) Recommended by Engineer By: [Name] Title: Senior Project Engineer Date: 11/26/25 Approved by Funding Agency By: __________________________ Title: ________________________ Approved by Owner By: __________________________ Title: ________________________ Date: __________________________ Date: __________________________

Sheets in this document

  • p. 22 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 23 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 24 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 25 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 26 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 27 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 28 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 29 Concept Design · Gallant Design
  • p. 30 Concept Design | Tiffin Events Center · Streamline Architects
  • p. 31 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 32 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 33 Concept Design · Gallant Design
  • p. 34 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 35 Floor Plan
  • p. 36 C120 · General Notes and Details · MMS Consultants
  • p. 45 A.200 · South Elevation
  • p. 46 Floor Plan
  • p. 47 Floor Plan · Basement
  • p. 48 A.200 · South Elevation
  • p. 49 A.201 · North Elevation
  • p. 50 Floor Plan · Level 2
  • p. 51 A.200 · Building Elevations
  • p. 52 Floor Plans
  • p. 53 C200 · Site Layout · Iowa DOT
  • p. 54 C300 · Site Utilities Plan
  • p. 55 C301 · Site Utilities Plan
  • p. 56 Revised Site P
  • p. 57 Preliminary Plat
  • p. 58 2 · Road Typical Section
  • p. 59 3 · Revised Phasing & Utility Layout
  • p. 71 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 72 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 73 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 74 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 75 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 76 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 77 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 78 Concept Design · Gallant Design
  • p. 79 Concept Design | Tiffin Events Center · Streamline Architects
  • p. 80 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 81 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 82 Concept Design · Gallant Design
  • p. 83 Concept Design · Streamline Architects · Tiffin Events Center
  • p. 84 Floor Plan
  • p. 85 C120 · General Notes and Details · MMS Consultants
  • p. 94 A.200 · South Elevation
  • p. 95 Floor Plan
  • p. 96 Floor Plan · Basement
  • p. 97 A.200 · South Elevation
  • p. 98 A.201 · North Elevation
  • p. 99 Floor Plans
  • p. 100 A.200 · Building Elevations
  • p. 101 Floor Plans
  • p. 102 C200 · Site Layout · Iowa DOT
  • p. 103 C300 · Site Utilities Plan
  • p. 104 C301 · Site Utilities South
  • p. 105 Revised Site Plan
  • p. 106 Preliminary Plat
  • p. 107 2 · Road Typical Section
  • p. 108 3 · Address City Comments Revised Phasing & Utility Layout

Sources

  • revize: Agenda packet (packet_2025-12-02_4b734c31-25e7-4dd6-9fb9-361df96c5fac.pdf) — where it was found ↗ first seen Oct 12, 2026

This document's details as JSON

Data last updated October 20, 2026. Built from the archive's documents; see how the data is built.